Perry: Ch 18 Maternal Physiologic Changes(with solved
solutions)
A patient who gave birth 4 days ago reports that her vaginal discharge has an offensive odor.
What patient clinical condition does the nurse infer from this?
1
Infection
2
High oxytocin levels
3
Postpartum hemorrhage
4
Normal lochial discharge correct answers Infection
What amount of blood loss is considered normal in a patient who has undergone a vaginal
delivery?
1
100 mL
2
400 mL
3
700 mL
4
1000 mL correct answers 400 mL
The nurse is caring for a pregnant woman who has low levels of estrogen and progesterone.
What does the nurse expect may occur as a result of the low hormone levels?
1
Massive growth of the uterus during pregnancy
2
Increased uterine contractions (UCs) during labor
3
Decreased growth of the uterus during pregnancy
4
Increased blood circulation to the uterus during pregnancy correct answers Decreased growth of
the uterus during pregnancy
A pregnant patient reports to the nurse, "My nails are soft and brittle, and I am worried about it."
What is the nurse's best response to the patient?
1
"You should make sure your nails are well moisturized."
2
"You have low potassium, so take potassium supplements."
3
"Your nails are soft and brittle due to carpal tunnel syndrome."
, 4
"After delivery your nails should return to normal consistency and strength." correct answers
"After delivery your nails should return to normal consistency and strength."
Postbirth uterine/vaginal discharge (called lochia):
1
is similar to a light menstrual period for the first 6 to 12 hours.
2
is usually greater after cesarean births.
3
will usually decrease with ambulation and breastfeeding.
4
should smell like normal menstrual flow unless an infection is present. correct answers should
smell like normal menstrual flow unless an infection is present.
The nurse assesses a postpartum patient several hours after delivery and suspects that the uterus
is subinvoluted. What could be a potential etiology for this finding?
1
Estrogen levels
2
Progesterone levels
3
Impaired platelet aggregation
4
Retained placental fragments correct answers Retained placental fragments
The nurse is caring for a postpartum patient who reports dizziness upon standing. What does the
nurse believe to be the most likely cause for this occurrence?
1
Endometritis
2
Hemorrhoids
3
Puerperal sepsis
4
Orthostatic hypotension correct answers Orthostatic hypotension
A postpartum patient complains of increased shedding of hair. What is the reason for her hair
loss?
1
Melasma
2
Varicosities
3
Nevus araneus
4
solutions)
A patient who gave birth 4 days ago reports that her vaginal discharge has an offensive odor.
What patient clinical condition does the nurse infer from this?
1
Infection
2
High oxytocin levels
3
Postpartum hemorrhage
4
Normal lochial discharge correct answers Infection
What amount of blood loss is considered normal in a patient who has undergone a vaginal
delivery?
1
100 mL
2
400 mL
3
700 mL
4
1000 mL correct answers 400 mL
The nurse is caring for a pregnant woman who has low levels of estrogen and progesterone.
What does the nurse expect may occur as a result of the low hormone levels?
1
Massive growth of the uterus during pregnancy
2
Increased uterine contractions (UCs) during labor
3
Decreased growth of the uterus during pregnancy
4
Increased blood circulation to the uterus during pregnancy correct answers Decreased growth of
the uterus during pregnancy
A pregnant patient reports to the nurse, "My nails are soft and brittle, and I am worried about it."
What is the nurse's best response to the patient?
1
"You should make sure your nails are well moisturized."
2
"You have low potassium, so take potassium supplements."
3
"Your nails are soft and brittle due to carpal tunnel syndrome."
, 4
"After delivery your nails should return to normal consistency and strength." correct answers
"After delivery your nails should return to normal consistency and strength."
Postbirth uterine/vaginal discharge (called lochia):
1
is similar to a light menstrual period for the first 6 to 12 hours.
2
is usually greater after cesarean births.
3
will usually decrease with ambulation and breastfeeding.
4
should smell like normal menstrual flow unless an infection is present. correct answers should
smell like normal menstrual flow unless an infection is present.
The nurse assesses a postpartum patient several hours after delivery and suspects that the uterus
is subinvoluted. What could be a potential etiology for this finding?
1
Estrogen levels
2
Progesterone levels
3
Impaired platelet aggregation
4
Retained placental fragments correct answers Retained placental fragments
The nurse is caring for a postpartum patient who reports dizziness upon standing. What does the
nurse believe to be the most likely cause for this occurrence?
1
Endometritis
2
Hemorrhoids
3
Puerperal sepsis
4
Orthostatic hypotension correct answers Orthostatic hypotension
A postpartum patient complains of increased shedding of hair. What is the reason for her hair
loss?
1
Melasma
2
Varicosities
3
Nevus araneus
4
